Download docx - Introduction to Senior Project Project Manual... · Web viewIntroduction to Senior Project Senior Project was developed in the 1980’s as an opportunity for a small part of the senior

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THE SENIOR PROJECT MANUAL

FOR THE CLASS OF 2013

SHAKER HEIGHTS HIGH SCHOOL

The following are the Faculty Advisor pairings for 2012/2013

Abdul-Hakim to Graham assigned to Mr. Schmidt, Room 277Grass to Pelfrey assigned to Mrs. DeMauro, Room 7

Perkins to Yule assigned to TBD

This manual may be found in its entirety at

www.shaker.org/SeniorProject HomePage.aspx

Pages 23 - 29 comprise what is referred to as the Sponsor Information Packet.

Be sure to give a copy to your Sponsor. It contains all of the forms that your

Sponsor needs to complete, a copy of

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the Sponsor Agreement, and an Introduction Letter from your advisors.

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This guidebook is written to assist the students, sponsors, and faculty advisors from the application process through the completion of the Senior Project. Each form needed to apply for Senior Project is included, as well as an explanation of how to complete each form and its due date. To find this manual in its entirety, go to:

http://www.shaker.org/SeniorProjectHomePage.aspx

Please note: When the more informal “you” is found in the text, the instructions are generally intended for the student.

The Senior Project Team wishes to acknowledge the contribution of class of 2002 members Lauren Gibbons and Kelly Murphy. Their hard work, organization, and vision changed presentation day from a closed, small group format to a community showcase. The program will be forever grateful for their lasting work. The team also wishes to thank:

Class of 2003 members Katherine Ekeberg and Sarah Ludgin Class of 2004 members Serena Hendricks, Dominique Sherrill, and Denise MackClass of 2005 members Robyn Arsham, Noelle Howe, and Becky SiegelClass of 2006 members Meghan Davis, Luisana Rojas-Rodriguez, and Megan SauerlandClass of 2007 members Sarah Brandon, Katherine O’Bryon, and Lisa SimonClass of 2008 members Katherine Foster, Lena Newman, and Viveca TressClass of 2009 members Diana Hall, Daniel Linehan, and Edward OrtizClass of 2010 members Marisa Vavruska, Garfield White, Gabe White, and Shayla WhileyClass of 2011 members Brittanie Calhoun, Kathryn Goodman, and Danielle HasselClass of 2012 members Jerri Lugo and Taylor Upshaw

In addition to the assistance of these former students, the following faculty members have been an invaluable resource to the current project advisors. We wish to thank Tom Patrick, Joel Rathbone, Walt Slovikovski, Amanda Rabatin, Andrea Bradd, Kathleen Fleming and Julia Johnson. In 2009, several members of the PTO were instrumental in coordinating the “Tier II” program. We wish to thank Jenny Kidd and Cynthia Green for their efforts in establishing this new aspect of Senior Project.

Without the aforementioned people, we would not be at this stage of Senior Project today.

Thank you all very much.

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Introduction to Senior ProjectSenior Project was developed in the 1980’s as an opportunity for a small part of the senior class to develop their creative skills and/or their understanding of specific careers before graduating from Shaker Heights High School. The internship period takes place during the last four weeks of classes in the second semester of the senior year. Since its inception, the Senior Project experience has grown tremendously. More than half of the students in each senior class in the 1990’s took part in Senior Project. The Senior Project is designed to encourage Shaker students to examine the world outside of the High School, so that students are better prepared for life after commencement.

To begin a Senior Project, a student will be assigned a Senior Project Advisor. The Advisor will help the student throughout the preparation for Senior Project. In June, the Senior Project advisor will coordinate the evaluation of the student's presentation as the culmination of senior project. All student forms must receive the faculty advisor’s approval. The Advisors for this year are Mrs. DeMauro, TBD, and Mr. Schmidt. Your forms must be submitted to your advisor in person on the date they are due.

PLEASE NOTE: If you are involved in an approved group project, each group member must still submit his or her own forms to his or her own advisor.

Currently, all students who, beginning the second semester:

Have passed their OGT tests, Are enrolled in a minimum of 5 classes for the duration of the semester Have no unexcused absences as of checkout day Have no more than 7 excused absences in a single class Are earning a Pass in any Pass/fail class Have no suspensions Have no outstanding fees, fines or school equipment Are not receiving a D or an F in any class required for graduation

are eligible to apply for the Senior Project. These experiences could include shadowing a professional, creating a performance or piece of work, doing research in a specific field, or assisting a social service agency. Students who have difficulty narrowing their project’s scope or who are having difficulty creating a project may submit a list of fields of interest instead of a Senior Project application. The student’s advisor will help the student find a placement from a list of community organizations, businesses, and hospitals that have volunteered to take students and provide Senior Project experiences for them.

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Senior Project Advisors (DeMauro, TBD, and Schmidt)

This manual was introduced in October so that each eligible student could plan ahead and work at his or her own pace to meet the deadlines for Senior Project.

The Senior Project advisor is a key player in the Senior Project Program. Through the guidance, insight and constructive criticism of the advisor, the student can build a strong Senior Project.

The student should set up appointments to meet with the Senior Project advisor well in advance of deadlines. The student should not rely on last minute sessions. Just as students are busy with a number of commitments during the Senior Year, so are Senior Project advisors busy with classroom work, other students, and after school meetings.

Tips for a Successful Senior Project Pass all Ohio Graduation Tests Be present in all of your second semester courses all of the time! Keep all of your grades at a “C” and higher

For School Projects Get the building principal’s approval for any work you will do in that building

For Photo Projects Student should arrange for developing off site

For Mural Projects Obtain approval from the Mural Committee by following the procedure listed on p. 17. Complete all school purchase order forms before May with approval from your sponsor.

Out of town Projects Daily contact by phone, in person, or by e-mail with your sponsor and faculty advisor is

required. This contact must include your planned schedule for that day.

Creative Projects These include rebuilding, making, creating, designing, researching and investigating. In your application, clearly explain the role of the sponsor. Plan to meet with your sponsor

at least two times a week during the project.

Vocational Projects These include spending time learning (by observation and study) about a selected profession

(nursing, law, teaching, etc.) In your application, include A project outline approved by your sponsor and faculty advisor. The outline discusses goals

and outcomes of the project, and is the basis for the journal and final presentation.

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Tips for a Successful Senior ProjectHigh Risk Projects These projects have a high likelihood of NOT being approved.

creative writing project without on-site sponsor project completed out of town project with an employer of high school students small business projects project attempted at the site of student’s employment projects attempted at student’s or friend’s house sports instructional video projects at the following locations or involving the following vocations:

Athletic/fitness centers Baby-sitting House repair Garden/lawn work

DON’T Exceed 7 excused absences in any course Have any unexcused absences in any class, i.e. no cuts Let any grade drop below a “C” Get a sponsor who is a relative of any kind Receive any PAY for project. You might be approved to work at your place of employment,

but you will NOT be “on the clock” during Project hours. Any project that would take occur at your place of employment must increase the scope of your current job and/or involve job shadowing another employee, such as a manager or supervisor, who has responsibilities that are above and beyond the student’s job description. In this way the student can grow and benefit by learning about other aspects of the business that they are involved in.

IF YOU ARE ENROLLED IN A VOCATIONAL PROGRAM THROUGH CLEVELAND HEIGHTS HIGH SCHOOL AND YOU WOULD LIKE TO PARTICIPATE IN SENIOR PROJECT, PLEASE SEE PAGEs 16 AND 17 FOR INFORMATION ABOUT COMPLETING A SENIOR PROJECT INVOLVING YOUR VOCATIONAL PROGRAM.

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A Note Regarding the Advisor-Student PartnershipThe Senior Project goal over many years has been to help students produce quality projects. Constructive criticism and helpful suggestions from the committee will enable students to pursue creative Senior Projects that will provide meaningful growth experiences.

Your advisors will make every attempt to help you salvage quality projects. With some tinkering, most projects move forward to the next step. There are projects that may be rejected. When a project proposal is rejected, direction will be given on how the student can continue to remain active in the program while developing a new project. For this reason, it is critical that you stay in contact with your advisor throughout the early stages of your project. Be sure to not only hand in forms on time, but meet with your advisor to ensure that your project has been accepted.

All projects are reviewed by the three advisors working together. Reviewing Senior Projects as a group maintains the strength and integrity of the Senior Project program. Students must meet deadlines for all of their material, so that the advisors can give students a reasonable amount of time to revise. The failure of a student to submit timely work to his or her advisor may result in the student’s disqualification from Senior Project.

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Timeline for Senior Project 2012 – 2013October 4 – Senior meeting to preview the Senior Project Program

November 7 – Senior Project Interest form is due to faculty advisors. Forms will be collected in the Senior Lounge during 10th period or after school from 3:00 until 4:00. Student should keep his/her own copy of each form.

November 29 – Students must meet with their advisors in the senior lounge during 10th period or after school from 3:00 until 4:00. Students will find out if their project was approved or if it needs revision and to get contact information of potential advisors, where requested. ALL INTERESTED STUDENTS MUST MEET WITH HIS OR HER ADVISOR IN PERSON AT THIS TIME!

December 12 - Project Description is due today. Forms will be collected in the Senior Lounge during 10th period or after school from 3:00 until 4:00. Student must keep his/her own copy of each form.

January 30 – Parental Agreement and Sponsor Agreement forms are due today. Forms will be collected in the Senior Lounge during 10th period or after school from 3:00 until 4:00. Student must keep his/her own copy of each form.

March 6 – Project Overview due today. Forms will be collected in the Senior Lounge during 10th period or after school from 3:00 until 4:00. Student must keep his/her own copy of the Project Overview.

April 10 – Project Calendar with all signatures due today. Forms will be collected in the Senior Lounge during 10th period or after school from 3:00 until 4:00.

May 6 – Students may pick up checkout and grade validation forms from the Senior Lounge.

May 10 – Students must check out for Senior Project today. Grade Validation and Senior Project Check Out forms are due today. Remember, you must check out in person between 8:30 AM and 12 PM.

May 13 – June 6 – Senior Project Month – Students will work an average of 6 hours a day, Monday through Friday, maintaining a careful log of their hours and a journal highlighting observations and accomplishments in their Senior Project.

May 24 – All students meet with their Faculty Advisor at the high school and return, in person, the Senior Project Progress Report filled out by their sponsor as well as a hard copy of their Journal in progress and a signed copy of the Log of Hours to date. The Journal and Log of Hours are ONLY for review by the advisor, not for submission. Advisors will be available from 8:30 AM until 12:30 PM in the Senior Lounge and after school from 3 PM until 4 PM.

June 6 – Students report at 4:30 to set up their Senior Project Presentation. Your Journal, Log of Hours, and a signed Sponsor Evaluation Form are due at this time. Senior Project Showcase will take place from 5:30 pm to 7:00 pm in the North Gym. Students are expected to dress appropriately for this event – no shorts, jeans, t-shirts, or hats!

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Month-by-Month Helpful Hints for Students

October:o Read the Senior Project Manualo Brainstorm potential Senior Projects with friends, family, and/or your advisoro Make contacts with potential sponsors

Not sure what to do for your Senior Project?o Talk to your counselor about your PLAN test and see if they can suggest an area.o Schedule a meeting with your faculty advisor to discuss which area best suits your goals and

career interests. Be aware that there may not be anything available in the areas that you select. You should follow up with your advisor to see what areas you can select from.

Contact the potential sponsors and arrange an interview with them.

November:o Turn in your Senior Project Interest form on November 7th

o Meet with your advisor on Nov. 14th to find out if your Senior Project is approved If your advisor does not approve your Project, you must revise it

December:o Turn in your completed Project Description. Due Dec. 12th

o Get a commitment from sponsoro Meet with your sponsor and provide him or her with a copy of the Sponsor Information

Packet.o Meet with your sponsor to plan out the project: identify goals and how the project will be

carried out.

January: o Get the signature of the sponsor and your parent/guardian on the Parent Agreement and the

Sponsor Agreement. Due Jan. 30th

February:o Turn in the final draft of the Project Overview on March 6th

o Meet with your sponsor to help you to prepare your calendar.

March:o Complete your calendar with the help of your sponsor and have your sponsor sign it.o See this manual for examples on how to write a journal entry.

April:o Turn in your calendar with all of the work times and hours filled in. Make sure that you have

your sponsor’s signature on the calendar. Due April 10th

o Check with teachers regarding grade issues. Students with D’s, F’s or Incompletes for the third quarter should monitor their progress carefully to ensure that he or she will remain eligible to go on project.

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o Check with the attendance office regarding attendance issues. Make sure that any absences are excused through the attendance office as soon as possible.

o Any issues that arise should be discussed with your advisor immediately so that you can remain eligible to go on project. We will do our best to work with you to reach a solution.

o Take care of all book fines, library fines, student activity fees and other payments. Remember that you must use cash or money order – no checks!

o Take a copy of the approved calendar to your sponsor.

May:o All students will obtain the signatures of each of their teachers in determining grade

eligibility. Begin obtaining signatures on check out forms on Monday, May 6th

o Students should check out on Friday May 10th beginning at 8:30 AM.o YOU MUST CHECK OUT IN PERSON! CHECKOUT FORMS SUBMITTED BY

ANY OTHER STUDENT WILL NOT BE ACCEPTED AND YOU WILL NOT BE CHECKED OUT FOR PROJECT!

o Students should verify arrival time with sponsors for Monday, May 13th

o Begin writing in your Journal on Monday, May 13th. It will be turned in on the presentation night, June 6th. Guidelines regarding your journal entries can be found in this manual and online at the Senior Project Home Page.

o Meet with Senior Project advisor at the high school on May 24th. Bring the Senior Project Progress Form completed by the sponsor, as well as a hard copy of your Journal so far.

o Invite your sponsor to Senior Project Presentation Night on Thursday, June 6th, from 5:30-7:00 pm in the North Gym.

o Remind your sponsor that his/her evaluation form is due on June 6th. Until this form is turned in, you will not have successfully completed Senior Project.

June:o Arrive at the High School by 4:45 pm on June 6th to set up your space in the North Gym. o Turn in your Journal, Log of Hours, and Sponsor Final Evaluation Form to your advisor’s

Student Helper when you arrive. The Student Helper will tell you where to find your name on a table in the gym. This table is your location for the night.

o Remember, students are expected to dress appropriately for this event – no shorts, jeans, t-shirts, or hats! Dress to impress, you never know who you might meet.

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Senior Project WorksheetUse this worksheet to keep track of your forms throughout Senior Project.

Form Due Printed Completed Submitted Revision Needed?

Senior Project Interest Form

Nov. 7

Project Description Dec. 12

Parent/Sponsor Agreement

Jan. 30

ProjectOverview March 6

Calendar April 10

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How to Complete the Senior Project Interest Form: This form is due on November 7th.

Talk with your friends, family, teachers and neighbors to find ideas for Senior Project.

Narrow down your ideas to one or two possible projects.

Fill in all of the information lines of the form so that your Advisor can easily send information to you. If you cannot decide on a project, please list some of the areas that you feel you might be interested in exploring while doing your Senior Project.

The difference between a Senior Project Advisor and a Senior Project Sponsor: The Senior Project Advisor (Mrs. DeMauro, TBD, Mr. Schmidt) monitor your work during the application process (October through May). suggests revisions to your work to help your Senior Project meet with approval enforces deadlines so that you can continue to be eligible for Senior Project coordinates the evaluation of your Senior Project presentation

The Senior Project Sponsor is an adult outside of the High School who is on the site where the Senior Project will be performed has expertise and interest in the topic of your Senior Project monitors your work during the month of Senior Project suggests revisions of your creations during the month of Senior Project must certify that your Senior Project hours have been completed.

Your Senior Project advisor will keep this form. You should keep a copy for your own records.

YOU MUST MEET WITH YOUR ADVISOR ON NOVEMBER 14th TO FIND OUT IF YOUR PROJECT WAS APPROVED, REJECTED, OR NEEDS TO BE REVISED.

Students who have their applications rejected will have the chance to revise their project applications with their advisor’s help.

You may change your initial idea by the beginning of January if circumstances change. Continue to work through the process with your Senior Project advisor, and be sure to receive your Senior Project advisor’s approval for all changes to your Senior Project.

PLEASE NOTE: You do not need to have your sponsor information filled out in order to get your project approved.

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Senior Project ApplicationDue: November 7, 2012

Please Type or Print Legibly

____________________________________________________Last Name First Name

____________________________________________________ E-mail Address

________________________ ____________________________Home Phone Cell Phone

Potential Sponsor _____________________________________

Location of Project (May not be at a student’s house)

____________________________________________________ Address of Project Site

__________________________________ ________________ City Zip

Description of the Project (Attach extra pages as necessary)Description of Project

PROJECT APPROVED________ PROJECT REJECTED___________

Senior Project Advisor Signature_________________________________

EACH MEMBER IN A GROUP MUST SUBMIT HIS OR HER OWN PAPER WORK DIRECTLY TO HIS OR HER ASSIGNED ADVISOR.

If this is a group project, list group members here:

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Senior Project Application Due: November 1, 2012

Please Print


____________________________________________________ E-mail Address

_______________________ ____________________________Home Phone Cell Phone


Location of Project (May not be at a student’s house)

____________________________________________________ Address of Project Site

__________________________________ ________________ City Zip

Description of the Project (Attach extra pages as necessary)Description of Project

I will be working with Ms. Bernadette Franklin at Riverside Elementary School. I will be her assistant for all in-classroom activities. I will also work individually with some students on reading and math concepts. I will also assist her with non-classroom duties.

PROJECT APPROVED________ PROJECT REJECTED_________


Johnson Joe

[email protected]

216-555-1122 216-555-2211

Bernadette Franklin

11448 Riverside Drive

Riverside 44444

SAMPLE



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Guidelines for MuralsStudent art work has been a staple of Senior Project for many years. These murals are seen by students, teachers, and administrators each day. They are also seen by visitors that come to our school. Consequently, we hold these murals to a high standard, both the artistic ability of the artist and the subject matter of the mural. Therefore, all mural designs must be approved by a committee of your advisors, volunteer teachers, the Art Department chairperson, and an administrator. The process to receive approval is as follows:

1. Turn in the Mural Proposal form on November 7th. You will not need to turn in the Senior Project Application form. If you do not submit a Mural Proposal at this time, you will not be permitted to do a mural for your Senior Project. Please read the directions for completing the Mural Proposal carefully, as incomplete submissions will be rejected.

2. Meet with your advisor on November 14th to determine if your mural is tentatively approved and you may move forward to the next phase.

3. Once you have received approval to move forward with your mural idea from your advisor, schedule a time to appear before the committee. Your advisor will assist you in doing this, but the appointment must be made prior to Winter Break. The committee will meet after school from 3 PM until 4 PM in January. You must appear before the committee at your scheduled time in order to do a mural for your Senior Project.

4. You will need to have a mock-up of your proposal, in color, to present to the committee. The dimensions of the mock-up must match the dimensions of the space that you wish to use. Be prepared to defend your choice of subject, discuss your artistic vision, and receive criticism and feedback regarding your mural.

5. The committee will determine if you may proceed with your mural after they have screened all of the applicants for mural projects. There is no limit to the number of murals that the committee will approve.

6. You and your sponsor will sit down and review the feedback from the committee to ensure that any changes mandated by the committee have been addressed. These changes may pertain to any aspect of your mural and must be observed in order to successfully complete your Senior Project mural.

7. At the presentation night, you are expected to have a display that shows the progress of your work from sketch pad to finished product. You must still complete a calendar, keep up with your journal, have your sponsor fill out your evaluation, and meet the check out requirements for Senior Project.

8. If you have any questions, see your Advisor (Mr. Schmidt, Ms. DeMauro or TBD) as soon as the issue arises. You may not change any aspect of your mural once it is approved without the consent of your Advisor.

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Mural Proposal FormDue: November 7, 2012

Please Print


____________________________________________________ E-mail Address

_________________________ __________________________Home Phone Cell Phone


Location of Project (Be specific as to where in the building you plan to create your mural.)

_____________________________________________________________________________________

_____________________________________________________________________________________

Description of the Mural: Attach extra pages as necessary. Please be sure to describe your artistic vision, your reason for selecting your subject, the intended location of the mural, and a brief description of what your mural will look like. You may attach a sketch of your proposed design. It does not need to be in color or to scale.

Description of Mural

Senior Project for Students Participating in Vocational Programs through Cleveland Heights High School


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Students that participate in the vocational programs at Cleveland Heights High School have the same opportunity to participate in Senior Project as their classmates. However, due to the unique nature of your course of study, you obviously must fulfill different requirements in order to graduate.

Some vocational programs require that an internship be completed. Others have a final project as the requirement. Whatever your particular course of study requires, the Senior Project cannot, does not, and will not replace or change those requirements. Senior Project is not a substitute for your course of study. Usually, the internship, final project or other major exit requirement for your vocational program is your Senior Project.

Your requirements for submitting forms to your advisors may be different than those of a traditional student, due to the fact that your program may dictate your project, your placement and your sponsor. Any requirement by your vocational program takes precedent over the requirements listed here. For example, if your Pharmacy program requires 150 hours of contact time, you must meet that requirement rather than the 100 hours normally required for Senior Project. Another example would be if you are required to get a paid internship, you would be allowed to receive pay for your Senior Project. You will discuss any of these exceptions with your Senior Project Advisor.

Please fill out the Senior Project Application for Vocational Students form on the following page and submit it to your Advisor by November 7th so that you remain on the list of active students. You will meet with your Advisor in the Senior Lounge on November 14th to discuss your requirements and your due dates. Students participating in the afternoon programs at Cleveland Heights will be able to arrange an alternate meeting time with their Advisor.

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Senior Project Application for Vocational StudentsDue: November 7, 2012

Please Print


____________________________________________________ E-mail Address

________________________ __________________________Home Phone Cell Phone

Vocational Program:

____________________________________________________

Circle One: AM Program PM Program

If you are in the PM program, list any free periods that you have below.

________________________________________________

Please list the requirements for your program’s internship or final project in the space below. Be sure to include the number of hours, the starting date, and the placement process.


If you wish to present your project with other members of your vocational program, please list those other group members here:

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How to Complete the Senior Project Description: Fill in all of the required information about yourself. See the application example for

guidance in completing the form for yourself.

Be as descriptive as possible about the Senior Project you are creating. You may include your information on an attached, typed sheet as needed.

Be prepared to describe your project in two areas: 1. The academic/vocational benefit that you will receive from this project2. The benefit that the community will receive from your project

Include the following in your description:o What you will be doingo What you will be learningo Who you will be working witho Where you will be working

You should keep a copy of this form for your own records.

This form is due to your advisor on December 12th.

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Senior Project Description FormDue: December 12th, 2012

Student Name _________________________________ _________________________Last name First name

Proposed Project (be as specific as possible and attach sheets as necessary):

Sponsor’s Name ____________________________________________________________

Sponsor’s Title _____________________________________________________________

Sponsor’s Work Address______________________________________________________

______________________________________________________

Sponsor’s Work Phone _______________________

Sponsor’s E-Mail Address ______________________________________________________

PROJECT APPROVED________ PROJECT REJECTED_____________________________


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Senior Project Description FormDue: December 12th, 2012

REMINDER TO STUDENTS: Sponsor Agreement and Parental Permission Agreement are due at this time.

Student Name ______________________________ ______________________Last name First name

Proposed Project (be as specific as possible and attach sheets as necessary):

I will be working in the lab of Dr. Betsy Ross, Director of Oncology for The Big Important Hospital. I will be shadowing her as she performs her daily rounds, analyzing the data she collects, and performing laboratory procedures and investigations. On the attached pages, you will find a much more detailed explanation of the work I hope to carry out and the benefit that it will have to humanity as a whole.

Sponsor’s Name ____________________________________________________________See page 11 for Sponsor Qualifications

Sponsor’s Title _____________________________________________________________

Sponsor’s Work Address______________________________________________________

______________________________________________________

Sponsor’s Work Phone _______________________

Sponsor’s E-Mail Address ______________________________________________________

PROJECT APPROVED________ PROJECT REJECTED_____________________________


SAMPLE

Johnson Jonny

Dr. Betsy Ross

Director of Oncology

16111 Hospital Way

Cleveland, OH 44444

555-555-5565

[email protected]

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How to Complete the Parent Agreement:

Fill in all of the required information about yourself.

Discuss this form with your parent/guardian. Explain your intentions for your senior project.

Be sure that all work and home phone numbers are included on this sheet.

Your parent’s signature means that you have your guardian’s permission to leave school and participate in this project, just as with a field trip release.

You should keep a copy of this form for your records.

This form is due on January 30th.

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SHAKER HEIGHTS HIGH SCHOOLSENIOR PROJECT PARENTAL AGREEMENT

Due: January 30, 2013

Student Name: ____________________________ _____________________________Last Name First Name

I grant permission for my child to undertake the Senior Project that he or she submitted. Having read the Senior Project manual, I am aware of the responsibilities and obligations of my child.

I am aware that acceptance is contingent upon fulfillment of the obligations and criteria stated in the Senior Project Manual and that failure to meet these requirements will jeopardize my child's participation in Senior Project.

Lastly, I approve of the sponsor that my child will be working with for his or her Senior Project.

Parent/Guardian's Name (Please Print): _________________________________________

Parent/Guardian's Address: _________________________________________

_________________________________________

Parent/Guardian's Phone Number: Work: __________________________________

Home: __________________________________

E-mail: __________________________________

Parent/Guardian's Signature: _______________________________________________

Date: _________________

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How to Complete the Sponsor Agreement: Fill in all of the required information about yourself.

Set up a meeting with your sponsor. You may need to call and meet with a few people before you find someone willing to be your sponsor.

Many students find their sponsor (who is not permitted to be a relative) through their neighbors and family member’s contacts.

Explain your intentions for your project clearly to your sponsor. Discuss what you would like to learn and produce from your project. (The minimum product is a daily journal.)

Give the sponsor the sponsor guidelines found in the manual! p.23 - 29

The sponsor must agree to meet regularly with the student and provide the opportunity for a successful learning experience. The sponsor must verify that the student has worked for at least the minimum required hours on the Senior Project.

The minimum requirement is 100 hours to be completed between May 13th and June 6th. Be sure to let your potential sponsor know if you plan on counting work on AP exams, Varsity sport competitions and practices (during working hours only), or other pre-approved time commitments as part of your Senior Project hours. These will be included in the final calendar that your sponsor signs.

If you are working in a school setting for your Senior Project, you must also receive an additional signature from the Principal of the school on your Sponsor Agreement.

If you are working in a hospital for your Senior Project, you must also receive an additional signature from the Volunteer Coordinator on a letter authorizing you to be a hospital volunteer during the period of Senior Project, but ONLY if such a letter is required by the hospital in which you are volunteering.

You must obtain the sponsor’s information and signature before January 30th.

Your Senior Project advisor will keep this form. Make your own copy for your records.

This form is due on January 30th in the Senior Lounge

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SHAKER HEIGHTS HIGH SCHOOLSENIOR PROJECT SPONSOR AGREEMENT

Due: January 30, 2013 in the Senior Lounge

Student Name: ____________________________ _____________________________Last Name First Name

I agree to sponsor the above student as he or she works on his or her senior project. I have been made aware of my obligations and look forward to assisting the student in completing his or her hours.

Sponsor's Name (Please Print): __________________________________________________

Sponsor's Work Address: _____________________________________________________

_____________________________________________________

Sponsor's Work Phone Number: _______________________________________________

Sponsor’s Work E-mail: ________________________________________________________

Sponsor's signature: Date: _________________

IMPORTANT!As the sponsor, I have received the sponsor evaluation forms. (Please initial appropriate

line.)

___ Yes ___ No

If you have not received this information, the student is responsible for providing it to you.

If your Senior Project is at a school, then the building principal’s signature is needed here

Building Principal: Date:

If your Senior Project is at a hospital, then the volunteer coordinator’s signature is needed here.

Volunteer Coordinator Date:

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GUIDELINES FOR SHAKER HEIGHTS HIGH SCHOOL SENIOR PROJECTTO POTENTIAL SPONSORS:Thank you for agreeing to sponsor a Shaker Heights High School Senior for his/her Senior Project. The requirements that the school has for sponsorship are:

Sponsors must be at least 21 years old. Sponsors may not be a relative of the student. Sponsors must be knowledgeable in the area of the Project.

Please read these guidelines before planning the Project with the student.

AS A SPONSOR, WHAT AND WHEN ARE MY RESPONSIBILITIES?

What When

Have an initial meeting with student too Help set realistic goalso Communicate to the student

Your expectations such as duties, responsibilities Dress requirements What the student will do during the project period

October - January

Sign a Sponsor Agreement By Jan. 30th

Read and discuss with the student their Project Overview, which includes the statement of the student’s goals, both personal and regarding the benefits to the community.

February

Meet with the student to create a calendar with dates and timeso The student needs at least 100 hours – AP and IB exams and

official review sessions count toward these hours.o Incorporate special cases (athletics, AP or IB tests, religious

obligations, college visits)o Signed calendar due from student on April 10

March/April

What When

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Meet with student to discuss progress of project.Regular contact is expected. However, daily contact is not required.

May 13 – June 6

Complete a progress report for the student to hand in.o This progress report is due from the student the morning of

May 24th.o This progress report may be faxed or mailed to the high

school on this date.

Prior to May 24

Complete a final evaluation of the student. This form is due from the student on June 6th at the high school during the Senior Project Presentation Night, which is held from 5:30 – 7:00 pm in the North Gym.

Prior to June 6

We hope that this outline is helpful to you in working with our students. The forms you need should be delivered by your student and are referred to as The Sponsor Information Packet, also available online at www.shaker.org/SeniorProjectHomePage.aspx

The following are the student pairings with their advisor listed.

STUDENT’S LAST NAME FACULTY ADVISOR

Abdul-Hakim to Graham James Schmidt at 295 – 4273 or [email protected]

Grass to Pelfrey Karen DeMauro at 295 – 6151 or [email protected]

Perkins to Yule TBD

Do not hesitate to contact the Shaker Heights High School Senior Project Program at the numbers above, fax us at 216-295-4277 or e-mail us at [email protected]. If you are mailing material to the high school, please address it to:

Shaker Heights High School15911 Aldersyde DriveShaker Heights, Ohio 44120ATTN: Senior Projects/Schmidt

We thank you for working with our fine young men and women.

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SHAKER HEIGHTS HIGH SCHOOLSENIOR PROJECT PROGRAM

PROGRESS REPORT

Please use this form to evaluate your student’s progress over the first two weeks of the project. DO NOT forward this form to Shaker Heights High School. The student is required to return this form to their faculty advisor at the high school on the morning of Friday May 24, 2013 between 8:30 AM and 12:30 PM or after school from 3 PM until 4PM. We will discuss any “Fair” or “Poor” marks with them at this time.

Please use the rating system below to indicate your student’s personal qualities.

Student’s Name: _____________________________________________________

POOR FAIR GOOD EXCELLENT

Dependability

Seriousness of Purpose

Cooperation

Initiative

Contribution

Motivation

Punctuality

Receptiveness to new ideas

Ability to work with others

Appearance and manner

Is the student completing the minimum hours required (an average of six (6) hours each day)?

Yes____________ No_____________

If no, please explain: ____________________________________________________________

_____________________________________________________________________________

Indicate any of your specific concerns at this time on the back of this form.

______________________________ ______________________________Sponsor Name (please print) Sponsor Signature

SHAKER HEIGHTS HIGH SCHOOL

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SENIOR PROJECT PROGRAMFINAL EVALUATION

The student should return this form on Presentation Night June 6th, 2013Alternatively, the sponsor may choose to mail directly to the Advisors.Shaker Heights High School15911 Aldersyde DriveShaker Heights, Ohio 44120ATTN: SCHMIDT

The sponsor may also fax this sheet to 216-295-4277, ATTN. SCHMIDT or attach a copy to an e-mail to [email protected]

Please use the rating system below to indicate your student’s personal qualities.

Student’s Name: ______________________________________________________

POOR FAIR GOOD EXCELLENT

Dependability

Seriousness of Purpose

Cooperation

Initiative

Contribution

Motivation

Punctuality

Receptiveness to new ideas

Ability to work with others

Appearance and manner

Did the student complete the minimum 100 hours required?

Yes_____________ No_____________

If no, please explain: ______________________________________________________

_______________________________________________________

(This form is continued on the NEXT PAGE)

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Page 2 of 2Sponsor’s Final EvaluationPlease answer any of the questions below, which pertain to senior project. If there is additional information related to the evaluation of this project, feel free to attach a separate sheet. Thank you for all of your work in making our program successful.

To what extent did you or your organization benefit from the student’s project?

________________________________________________________________

________________________________________________________________

________________________________________________________________What were the student’s strengths?

________________________________________________________________

________________________________________________________________

________________________________________________________________What were the student’s weaknesses?

________________________________________________________________

________________________________________________________________

________________________________________________________________Do you have any suggestions for strengthening our Senior Project program?

________________________________________________________________

________________________________________________________________

________________________________________________________________

Was this student’s project completed satisfactorily? _______ Yes _______ No

Would you be willing to sponsor a student next year? _______ Yes _______ No

Name: __________________________________ Signature: ___________________________

Title: _________________________________________

Organization: __________________________________

Phone Number: ( ) _________________________

Email Address: _______________________________________________________________

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How to Complete the Project Overview:

All students must complete this form!

Your overview is intended to help you during your project, so that you can focus upon your goals and gather the required materials for your display board on presentation day.

Review how your Presentation Overview meets the goals and expectations of your project. Be prepared to have your Senior Project advisor ask you to change parts of your overview

This overview is due on March 6, 2013. Any revisions must be completed by March 13.

The Senior Project advisor’s signature means that he or she approves your project.

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Presentation Overview Form:Due: March 6, 2012

Student: ___________________________________________________________________

Senior Project Advisor’s Signature: ______________________________________________

How do I expect to grow and learn during this project?

How do I expect the community to benefit from this project and its effects?

How do I expect my future to be affected by this project?

I anticipate being asked the following three questions by my evaluators on Presentation Day:

1.

2.

3.

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How to Complete the Calendar: Page one of two

The calendar is designed to assist the student with accounting for the required 100 hours to be reached during the month of Project. It should include hours spent on Advanced Placement tests, International Baccalaureate tests and Varsity athletics in addition to the hours spent at the project site. In general, any school related activity that prevents you from completing hours on a day can be counted towards your total for the day, but no more than the number of hours that you would have gotten on that day had you been able to attend the project site. Any time you will not be at your Senior Project site, you must make your Sponsor aware of that fact. The calendar will assist with that as well.

The month of the Senior Project lasts from May 13 until June 6. During this time period, you must work a minimum of 100 hours on your Senior Project. You will schedule these hours on your calendar, and record the hours on your Log of Hours sheet.

On your calendar, for each day of your Senior Project, you will write the times you will be working on your Senior Project and the number of hours for each day. List as specifically as possible what activities you will be carrying out that day or what stage in your project you will be at on a particular day. Some projects will have specific duties and tasks for each day, others may be determined on site by the sponsor.

If you are at a different site than your primary location, you must write this in the calendar block, as well as the time you will be on project that day.

If you are taking an Advanced Placement (AP) or International Baccalaureate (IB) exam, you may count some of these hours toward your Senior Project. You may count any hours spent in an AP or IB review session run by a faculty member of Shaker Heights High School during the month of Senior Project. You also may count the time that you spend sitting in the school-run testing session of the AP or IB exam. Find out your exam times for each class and any other conflicts and write them on your calendar before you meet with your sponsor.

The calendar must have the signature of your sponsor to be accepted. Your sponsor’s signature can be difficult to obtain. Schedule appointments to complete the calendar and obtain the signature well in advance of the due date for the Calendar. You will want to hold this meeting well before the deadline. Do not wait until the day before the Calendar is due to contact your sponsor about the Calendar.

At the meeting with your sponsor, review your potential schedule. You should also discuss your sponsor’s expectations for your Senior Project, as well as your own. Share your Project Overview with your sponsor, and schedule meetings with your sponsor during the Senior Project period. Also, discuss where you should report on your first day of Senior Project, as well as appropriate attire.

Following this meeting with your sponsor, you should set a date with your faculty advisor to review your first draft of your calendar. Your Senior Project advisor may need to suggest changes.

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How to Complete the Calendar: Page two of two

Athletic activities held over the weekend should not be counted.

Do’s and Don’ts: Travel time does NOT count toward the minimum hours of a Senior Project. Hours should be six hours a day for a five-day week, on average. If you have commitments during the month of Senior Project, you may make up hours by

previous arrangement, with the agreement of your sponsor. Highlight the date of the last AP exam you are taking on your calendar. You may count up to 5 hours of time used to prepare your presentation for the Senior

Project Showcase Night. The Senior Project Showcase Night on June 6th does NOT count toward the 100 hours.

The calendar is due, with all changes and with all signatures, on April 10th. Make sure that your sponsor has signed the Calendar.

You, your sponsor and your faculty advisor should each have a copy of this form.

In the small block found on each day’s calendar entry, record the number of hours worked for that day. When all of the numbers found in these boxes are totaled, they should add to at least 100 hours.

During Senior Project, you must immediately contact your sponsor if you will be missing any hours due to illness or other emergencies. You will be responsible for making up the hour(s) at your sponsor’s convenience.

On check in day, May 24th, students will bring their progress report, a sample of their journal entries, and the log of their hours to date. Students are NOT required to be present the entire time. Once a student has met with his or her Senior Project advisor, the student should return to the project site.

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SENIOR PROJECT CALENDAR MAY 2013 (Due April 10, 2013)Student Name: ___________________________________________ Student Phone: ___________________________

Contact person (Sponsor) __________________________________ Address of project: __________________________

Phone number at project location: ______________________________ __________________________

__________________________

APPROXIMATE TIMES AND ACTIVITIESMonday Tuesday Wednesday Thursday Friday

Week1

MAY 13 MAY 14 MAY 15 MAY 16 MAY 17

Week2

MAY 20 MAY 21 MAY 22 MAY 23 MAY 24

Return to High School with Progress Report Form, Journal to Date and Log of Hours signed by your Sponsor between 8:30 AM – 12:30 PM or after school from 3 to 4 in the Senior Lounge

Week3

MAY 27 MEMORIAL DAY

MAY 28 MAY 29 MAY 20 MAY 31

Week4

JUNE 3 JUNE 4 JUNE 5 JUNE 6Senior Project Presentation

Night5:30 PM to 7 PM

North GymArrive for setup by 4:45

JUNE 7

STUDENT'S SIGNATURE: _________________________________________________________ DATE: _____________________

SPONSOR'S SIGNATURE: __________________________________________________________DATE: _____________________

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How to Complete the Checkout Form: The Checkout form is designed to ensure that the student has met all of the behavioral and attendance

requirements for Senior Projects.

The attendance requirements are the following: The student may have no more than 7 excused absences for any class during the Spring

Semester of the senior year. The student may have no unexcused absences for any class during the Spring Semester of

Senior year.

The behavior requirements include, and are not limited to, the following:The student must have a clear discipline record, free of all suspensions, etc.The student must be enrolled in a minimum of five (5) classes that are earning credit.The student must have all credits and requirements needed for graduation.The student must have passed all proficiency tests. The student may have no outstanding fines with any agency of the High School, especially:

the library the music department the textbook office the music department the math department (calculators) the athletic department the student activity fee.

The student must have completed and officially passed all independent study projects.

The student may pick up the Checkout form on May 6th in the Senior Lounge. During the next few days, the student must visit and receive the signature of all of the people listed on the form. The student will also turn in all textbooks to the textbook office (Room 117) at this time, except for students taking AP or IB tests.

If a student is taking AP or IB exams the student may keep a book until the day of the exam. As soon as the student has completed his or her last AP or IB exam, the student must turn in the textbook to the textbook office. These students must still turn in all non-AP or non-IB books before May 10 th.

ONLY acquire signatures during your free time. Missing class to complete the checkout form constitutes an UNEXCUSED absence. Unexcused absences are reason for removal from Senior Project.

The Checkout form is due in the Senior Lounge on May 10th between 8:30 AM and 12:30 PM. It must be turned in by the student IN PERSON at this time. The only exception is for students taking an AP exam during this time. Those students may turn in their forms after the exam.. You may not have a friend turn in these forms on your behalf. They will be rejected and you will not be checked out for Senior Project until you come in person to submit your forms.

Failure to turn in the Checkout form means that the student is required to attend all classes and perform all work required, including sitting for final exams.

Each student MUST also turn in the Grade Validation Form on Friday May 10th, 2013. THIS INCLUDES STUDENTS TAKING AP EXAMS.

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SAMPLEThis form is meant as a guide to prepare the student for checkout day. The actual form will be available in the Senior Lounge on Monday May 6, 2013.

SENIOR PROJECT CHECKOUT FORM

NAME____________________________ ___________________________(PRINT) Last name First name

STUDENT NUMBER _____________

1. Please turn in your textbooks, pay textbook fines, activity fees, and library fines by Friday, May 10, 2013 during any unassigned class period.

All accounts must be paid before departure on Senior Project. The Band and/or Choir Director, textbook secretary, librarian, and accounting specialist need to sign this form when you have settled with them.

____________________________LibraryLibrary Staff

_________________________Band/ChoirMusic Director (only if student took music at HS)

____________________________TextbookTextbook Staff

_________________________Activity FeeBanker (Mrs. Steenbergh, main office)

_____________________________Graduation Requirements Met (credits and OGT tests)Guidance Counselor

______________________________ Behavior and Attendance Issues ClearStudent’s Unit Principal in room 110 2. See the Senior Project manual for suggestions on daily journals. The journal is due at your presentation

on June 6, 2013.

3. Senior Project begins on Monday, May 13, 2013. You need to satisfactorily complete senior project requirements through Friday, June 6, 2013. This includes attendance. It will take only one referral or missed class to terminate your project.

4. Please return this completed form to your Advisor by 12:30 PM on Friday, May 10, 2013. If you are taking Advanced Placement or International Baccalaureate Test(s), turn in your books and this checklist after your last test.

I have read and understand all information regarding my obligations toward the Senior Project. I will meet all these obligations.

_____________ ______________________________________________Date Senior's Signature

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How to Complete the Grade Validation Form: The Grade Validation Form is designed to give the most accurate indicator of the final list of

eligible candidates for senior project based on grades.

Students with a D, F, or INC on their third quarter report card are advised to maintain a close watch on all of their grades. Please check your report card to be best informed.

Students may pick up the Grade Validation Form on May 6 in the Senior Lounge. During the next few days, each student will obtain the signatures of each of their teachers.

ONLY acquire signatures during your free time. Missing class to do this constitutes an UNEXCUSED absence. Unexcused absences are reason for removal from Senior Project.

The Grade Validation Form is due on Friday May 10 from all students applying for senior project status, even those who will be taking AP or IB exams.

If you are taking AP or IB exams (and holding on to textbooks) you MUST still turn in the Grade Validation form on May 10 and are required to turn in your any AP textbooks to the textbook office on the day of your final test. This will then place you in good standing. After your books are turned in, you will get the final signature from the Textbook Office.

Failure to turn in the Grade Validation Form means that the student is not approved to go on Senior Project. The student will be required to attend all classes and perform all work assigned by the teacher, including taking final exams.

A grade of D in more than one class as of May 10th may result in the student being disqualified from Senior Project. However, it is not an automatic disqualification. Your classroom teacher MAY allow you to go on project, may choose to have you remain in your classes for the rest of the year, or may decide to release you to go on Senior Project conditionally. A more detailed description will accompany the Grade Validation form when it is released on May 6th.

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SAMPLEThis form is meant as a guide to prepare the student for the checkout procedure. The actual and perhaps modified form will be issued to students on May 6th, 2013.

SENIOR PROJECTGrade Validation Form

NAME____________________________ ___________________________(PRINT) Last name First name

STUDENT NUMBER _____________ DATE: ____/____/_____The student named above has completed the course requirements and is able to participate in Senior Project based on his/her grades. (C or better in each class, “P” in a pass/fail class)Students that have a D in only one class may participate in Senior Project at the discretion of that teacher.

Teachers: Please note whether or not the student may participate in Senior Project if they have a D in your class by writing “D/YES” or “D/NO” in the space for your grade. If the student may participate conditionally, write “CO.” Indicate the conditions for participating on the reverse of this sheet or attach a copy of any contract that the student signs.

Period Teacher Signature Course Grade

_______ ________________________ ___________________ ________

_______ ________________________ ___________________ ________

_______ _______________________ ___________________ ________

_______ ________________________ ___________________ ________

_______ ________________________ ___________________ ________

For this form to be complete, ALL OF YOUR TEACHERS MUST SIGN THIS FORM no later than May 10, 2013.

THERE ARE NO EXTENSIONS GRANTED FOR THE GRADE

VALIDATION FORM

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Example of a Journal for Senior Project

Students are expected to keep a journal of each day's activities during the senior project period. Each journal entry should begin with the date and should address the following:

1) What did I do today?2) What did I learn?3) What unique events (if any) occurred?4) What is my next step?

AS YOUR PROJECT NEARS THE HALFWAY POINT (May 24), BEGIN TO MOVE AWAY FROM JOURNAL ENTRIES WITH EXCESSIVE DETAILS ON DAILY EVENTS AND BEGIN TO FOCUS YOUR WRITING ON HOW YOUR GOALS AND EXPECTATIONS HAVE OR HAVE NOT BEEN MET. LET THIS BECOME THE “FEELING PART” OF YOUR JOURNAL

Each entry should be typed, double spaced, and be approximately half a page.The following is an example of an acceptable entry: (Please note that this entry was formatted single spaced to enable it to fit on this page.)

May 16, 2013Today I sat in a conference with my sponsor, Dr. Adamson, and a team of doctors who are all cancer specialists. The hospital has been given the OK to begin a new experimental treatment and the doctors were being given the latest details via a teleconference involving a doctor from Brazil. Recent journal articles indicate that this treatment may actually extend the life of some patients up to 10 years. I also learned that the hospital in Cleveland is only the second hospital in the world to offer this treatment. The discussion expressed much joy, as well as hesitation and even reluctance. The first patients to undergo this treatment will come from as far away as Mexico, Canada, and Ireland. Tomorrow I will be searching for recent journal articles that debated this procedure over the last five years and writing a summary of this work for my sponsor. His secretary helped me begin my search last week, showing me two great websites and a great search engine geared toward medical research. I also hope to set up a question and answer page for the doctor so that other potential patients can get the expert advice they need before committing to the procedure.

The following is an unacceptable entry:

May 15, 2013Today I sat in a conference with my sponsor on a new medical procedure the hospital is considering. It seems very interesting. Tomorrow I will do some research and help the doctor with his work.

The unacceptable entry is too short and does not address the four items listed at the top of this page to the same degree that the acceptable entry does. Let this journal be your opportunity to tell your story and not just a way of satisfying a requirement. This journal is due at the time of your presentation.

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Notes for the Presentation Day

All students are expected to participate in the Senior Project Presentation Night.

Your Presentation of your Senior Project will occur on June 6th, 2013 from 5:30 – 7:00 PM in the North Gym of the High School. Please arrive before 4:45 PM in order to find your presentation location and set up your presentation.

The presentation will have a “science fair” format. You will stand by your presentation while parents, teachers, administrators, community members and your evaluator look at your board and ask questions about your experience.

Your evaluator will be a parent, teacher, or former student that has volunteered his or her time to help us gauge to what degree your Senior Project was satisfactorily completed.

You must remain at your board the entire time, even if you have already been evaluated.

Standard size tri-fold boards, as used in science fairs, are required to be purchased by the student. Even if you have a video to display, you must have some form of display board. Please do not attempt to use a poster board, as it is not sturdy enough to stand on its own.

Your display must include the following: A copy of your Presentation Overview Title of your project and your name prominently displayed Your journal, displayed in front of your board

Students must take their tri-fold boards at the end of the night.

Photos, calendar of activities, and letters from sponsors were some of last year’s optional items included on the tri-fold. They are not required, but do enhance your board.

Be dressed formally and have your presentation board prepared in advance.

Students should expect the presentation forum to last approximately one and a half hours and all students are required to be present for the entire time.

Due at the time of your presentation are your journal your log of hour, and your sponsor’s final evaluation form.

Student journals will become the property of the Senior Project advisors. Students are advised to keep a copy of their journal. If students would like material returned, it may be picked up in room 277 after Labor Day 2013. Materials will be held until October 1, 2013 and will then be discarded.

Students who are not able to present on June 6th for legitimate reasons must make arrangements in advance with his or her advisor and the Senior Project Coordinator. Failure to present means a failure of the Senior Project.

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SPECIAL NOTE

The school will NOT provide any audiovisual equipment. Students will need to bring (if needed) laptops, CD/DVD players, speakers or TV/VCR/DVD combo units.

Students needing extension cords or power strips should make arrangements to bring their own.

Cords will not be available on the night of the presentation.

You must let your sponsor or the sponsor’s student helper know that you need power by June 3rd to be guaranteed a location close to an outlet.

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Instructions for the Log of Hours

Students are required to keep track of their hours during senior project using the Log of Hours sheet on the following page.

The sponsor will verify the hours by signing the Log at least at the end of each week. Students should record their hours daily and have the sponsor validate this record with his/her signature.

If any question arises, the word of the sponsor will be taken as correct. You should be able to justify your time by keeping accurate records. Have your sponsor sign the Log of Hours as often as each of you feel is appropriate. At the least, a signature should be recorded once at the end of each week.

On average, students will need to complete six hours a day in order to reach the minimum of 100 hours.

Do not wait until the last minute to ask the sponsor to validate your hours.

The Log of Hours form must be presented to your Senior Project Advisor for approval (but not turned in) at the check-in on May 24th and then turned in at the Senior Project Presentation Night on June 6th.

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LOG OF HOURS

STUDENT NAME: ______________________________________________________

SPONSOR’S NAME: ____________________________________________________

Day Date From Until Total Daily Hours Sponsor Signature

EXAMPLE 10 AM to 4 PM 6 hours

Mon May 13 to Tue May 14 to Wed May 15 to Thur May 16 to Fri May 17 to

Sat May 18 to Sun May 19 to


Sat May 25 to Sun May 26 to


Sat June 1 to Sun June 2 to

Mon June 3 to Tue June 4 to Wed June 5 to Thur June 6 to

Instructions for the Extension Form

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Extension Forms are used when a particular deadline will be missed, but you wish to stay eligible for your Senior Project.

A student is required to fill out the form completely and turn the form in on or before the deadline that will be missed.

Extension Forms turned in after the deadline will not be accepted and will result in the student being removed from Senior Project.

Your Advisor will determine a new extended deadline on a case-by-case basis. Failure of the student to meet this new deadline will result in the student being removed from Senior Project.

Extension Form

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Name of Student: ______________________________________________

Date Submitted: ______________________________

I am requesting an extension for the following deadline (check one):

_____ 1) November 7th – Application

_____ 2) December 12th – Project Description

_____ 4 January 30th – Sponsor Agreement

_____ 5) January 30th – Parental Agreement

_____ 6) March 6th – Project Overview

_____ 7) April 10th – Calendar

I understand that if I am granted an extension, my faculty advisor will set a new deadline that must be met.

_________________________________ _________Signature of student Date

Reason for Extension:____________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

NEW DEADLINE: ___________________________ (to be filled in by advisor)

YOU MUST SUBMIT THIS FORM TO YOUR ADVISOR IN PERSON!